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Integrated Care
Systems Hub


With all Integrated Care Systems in England being formalised in statute in 2022, the shifts in how health care is delivered that are anticipated under the NHS ten-year plan, will see integration continue to play a key role when it comes to reshaping health and care systems, NHS providers, primary care and commissioning.

ICS Hub No Background

The Health and Care Act enacted the most significant reforms in a decade

The Health and Care Bill received Royal Assent on 28 April 2022 to become the Health and Care Act 2022. The Act included a variety of measures relating to the health and care system and formalised a system that works at three levels: system, place and neighbourhood. What does that mean?

Systems

Systems cover the whole area’s health and care partners in different sectors who come together to set strategic direction and to develop economies of scale...

Places

Places cover a smaller geographical footprint and are typically served by health and care providers in a town or district, connecting Primary Care Networks...

Neighbourhoods

Neighbourhoods are typically served by groups of GP practices working with NHS community services, social care and other providers to deliver more co-ordinated...

Will the NHS ten-year plan realise the government’s ambition to build an NHS that is fit for the future?

The NHS ten-year plan is expected to be released in June 2025 with three core ambitions: shifting hospital to community care, analogue to digital and treatment to prevention. Whilst the formal detail is yet to be released, this is anticipated to mean:

  • Hospital to community care
    A move to bring care closer to where people live, including through a new neighbourhood health service to deliver more proactive and personalised care to patients.

  • Analogue to digital
    A rolling out of new technologies and digital approaches to modernise the NHS that will, amongst other things, seek to bring together a single patient record, owned by the patient that will be shared across their care teams.

  • Treatment to prevention
    An ambition that will seek to shorten the amount of time people spend in ill health by preventing illness before it happens, securing earlier diagnosis and improving the management of chronic conditions.

Creating, planning and adjusting an effective integrated care system that will address the ambitions of the ten-year plan will be challenging...

Whether it’s a provider collaborative or a place-based partnership seeking to realise the shift from hospital to community care, or a NHS provider or commissioner seeking to pilot and/or procure a new place or system wide EPR or other digital solution, our Integrated Care hub page includes a wide range of resources to help provide answers and guidance on a variety of legal issues specifically for those working at or with systems, place-based or neighbourhood levels.

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What our clients say...

“This was a complex brief that needed to satisfy the DPO’s in each partner organisation who each had varying levels of expertise and organisational risk tolerance. Set against a backdrop of the pandemic Mills and Reeve created a comprehensive document that is now regarded as an exemplar for other regions going through the same process.”

Danny Roberts, former Chief Technology Officer

South Warwickshire NHS Foundation Trust

“We commissioned Mills & Reeve to develop a legal agreement for public and independent sector provider organisations working together. The work was potentially extremely challenging and complex with little precedent. We were very impressed with the manner in which the firm approached and facilitated the work which ensured all organisations were on board and we managed to achieve consensus.”

Claire Holmes, Programme Lead

IMPACT

“We knew we would need a partner to help us through the level of complexity involved. …Mills & Reeve offered us that expertise. Their level of knowledge of the legislation across both the NHS and local Government combined with their ability to work as a part of our team has been exceptional … helped us travel much further, much faster with less unmanaged conflict and tension on our journey.”

Mike Barker, Strategic Director of Commissioning/Chief Operating Officer

Oldham Clinical Commissioning Group

“Mills & Reeve led us through the development of our Provider Collaborative …A strong focus of discussion was governance …It is clear that the M&R Team have significant experience in this area and their input was invaluable in supporting us to reach consensus and agree a Partnership Agreement that will support us in our journey as a Provider Collaborative.”

Michelle Richards, Programme Lead

Greater Manchester Mental Health NHS Foundation Trust